UP Education Conference Agenda

Note, this agenda is not final and is subject to change. This alert will disappear once the agenda is final.

8:00 AM - 9:30 AM
9:30 AM - 9:45 AM
Melissa Samuel, Health Care Association of Michigan
9:45 AM - 10:45 AM
Jon Barch, Northern Michigan University
Leadership for resiliency: Psychological need-supportive workplaces are good for client, co-worker, and manager wellness.
Nursing care facilities can be extremely stressful workplace environments. Burnout, disengagement, employee turnover, and a variety of other mental and physical health related issues are common challenges for nurses and other employees. In this educational session you will learn about creating social contexts that support psychological need satisfaction, which enhances everyone’s resilience when faced with stressful environments. Institutional leaders and managers play a key role in establishing these need-supportive social contexts; however, this session will remind us that everyone makes a difference.
Learner Objectives:
  1. Learners will be able to list and define the three basic psychological needs of autonomy, competence, and relatedness.
  2. For each of the three psychological needs, learners will be able to describe at least one aspect of their workplace context that they could influence to increase the need supportiveness of that environment.
  3. Learners will be able to describe how one’s perception of the social context ultimately determines how need-supportive it is for them.
  4. Learners will be able to describe, in general terms, at least one scientific study of psychological needs in nursing contexts well enough to explain how the findings of the research might be applied to their workplace setting.
11:00 AM - 12:00 PM
This session will be beneficial for non-clinicians as well as clinicians as F686 is discussed through the lens of compliance. How can a facility, leadership and staff better achieve compliance in the complexity of wound prevention? Through the use of the strategies of Discover, Discuss, Document and Debrief, along with utilization of tools to help ensure these steps which will include rich discussion and audience participation, this session will provide valuable information to strengthen the approach to this regulation.
Learner Objectives:
  1. List components of a the F686 tag.
  2. Identify at least one area of opportunity for improvement in compliance with F686 in their facility.
  3. Implement strategies to become compliant with F686 in their facility.
Michael Marlow, Watercrest Senior Living Group
Our wonderful industry faces many headwinds. Lower occupancy and revenue, a largely misinformed public on who we are and what we do and extreme difficulty in attracting and retaining employees. In this highly interactive session, we will discuss how we MUST treat our employees, both current and future, just as we treat our customers - as true individuals! In addition, we must "sell" our employees on the overall Experience of working in senior living. There are many heroic efforts going on each and every day and when we share that with our current labor force, we can make great strides to having staffing issues become a thing of the past!
Learner Objectives:
  1. Review why we must treat our employees as we treat our customers.
  2. Examine the motivations of our current workforce and current job seekers.
  3. Discuss how to utilize relationship equity to attract and retain employees.
12:00 PM - 12:45 PM
12:45 PM - 2:15 PM
Victoria Burlew, Lebenbom & Rothman Consulting
Andrew Rothman, Lebenbom & Rothman, P.C.
This interactive session discusses the top 10 citations in the past 12 months across Michigan. Join in the problem-solving - how do you prevent these citations and repeat citations in your homes? Explore a new tool to assist with sustained compliance. We also provide an update on the Medication Aide legislation and what needs to be accomplished before programs will be up and running. Lastly, we review the Rules for CNAs and using the CNA Registry. We introduce CNA Online and describe how you might use this to train your team.
Nurse Learner Outcome: The participants will self-report a knowledge gain in the regulatory expectations as seen in CMS survey results and changes in state and federals laws and rules. The participants will self-report a knowledge gain in resources to assist them.

Learner Objectives:

  1. List the top ten citations in Michigan.
  2. Review the medication aide legislation and progress toward implementation.
  3. Discuss options for nurse aide training across the state.
Michael Marlow, Watercrest Senior Living Group
2:30 PM - 3:30 PM
Jon Barch, Northern Michigan University
Gen Z understands the importance of purpose and passion as much or more than previous generations; so, how can mangers help them ignite their workplace motivation? This presentation will briefly review the science of generational differences in personality, motivation, and behavior. Next, we will discuss universal principles of human motivation. Finally, we will explore ways to connect across generational differences in the workplace by examining the differences in our perceptions of what paths lead to psychological need satisfaction and motivational enhancements.
Nurse Learner Outcome: After this session, participants will report a knowledge gain related to the causes and consequences of generational differences in workplace communication, motivation, personality, and behavior on the post session evaluation.
Learner Objectives:
  1. Identify at least two generational differences that are particularly strong in Generation Z.
  2. Explain the primary causes of generational differences in personality, motivation, and behavior.
  3. List and define the three basic psychological needs outlined by Self-Determination Theory.
  4. Discuss the connections between psychological need satisfaction and intrinsic motivation.
  5. Give examples of Gen Z relevant, workplace situational supports for the psychological need fulfillment.
3:45 PM - 5:15 PM
Wayne Johnson, Norlite Nursing Center
During this interactive session, join moderators Maureen Cary & Wayne Johnson in discussing and sharing roadblocks and best practices based on today's earlier presentations. We will cover workforce challenges, staffing agencies and challenges in controlling costs. Participants and moderators will dive into "real life" scenarios, road blocks, facility best practices and identify opportunities for improvement and solutions that will promote optimal care of residents and facility operations.

Nurse Learner Outcomes:

  1. At the conclusion of this educational activity, participants will self-report on the post session evaluation a knowledge increase of challenges in recruiting and retaining nursing staff in a rural area.
  2. At the conclusion of this educational activity, participants will self-report on the post session evaluation,a knowledge increase on general reimbursement challenges including adapting to the discontinuance of Public Health Emergency guidance, resources and strategies to increase reimbursement.

Learner Objectives:

  1. Identify challenges in the current long term care workforce environment in rural areas
  2. Strategy when working with staffing agencies to ensure your own staff do not join their team
  3. Overcoming challenges with cost control with disproportionately higher wages post-pandemic.
Victoria Burlew, Lebenbom & Rothman Consulting
Jennifer Post, Health Care Association of Michigan

Using a “Roundtable Format” attendees will engage in information gathering and sharing on numerous topics relevant to all levels of owners/operators/staff in all Michigan assisted living homes including HFA, AFC and non-licensed communities where assisted living services are available.

Learner Objectives:

  1. Identify current workforce challenges.
  2. Identify areas to reduce risk.
  3. Identify ways that public relations can help your business.
  4. Identify areas to enhance the resident experience.
5:15 PM - 6:15 PM
8:00 AM - 8:30 AM
8:45 AM - 9:45 AM
Victoria Burlew, Lebenbom & Rothman Consulting
Is your team challenged with residents who have frequent falls? Are you struggling to find interventions to help residents be safe and have independence too? Perhaps, you are looking in the wrong place. The challenge may not be with the residents; it may be with the Fall Prevention Program and the systems we have in place to support our residents and staff. Learn how to conduct a root cause analysis of your system and improve that. Refurbish your action planning process. And build a monitoring system that includes thresholds and checkpoints to continuously sustain and improve your Fall Prevention Program.
Nurse Learner Outcome: Participants will self-report a knowledge gain in applying the principles of QAPI to improving their Fall Prevention Programs.
Learner Objectives: 
  1. Describe a Root Cause Analysis Tool.
  2. Discuss how to develop an action plan.
  3. Investigate a tool to improve results of QA Monitoring.
Andrew Rothman, Lebenbom & Rothman, P.C.
10:00 AM - 11:00 AM
Grant Pecor, Barnes & Thornburg LLP

Coming off a whirlwind of labor and employment changes in 2023, this year has already gotten off to a fast start requiring facilities to modify their approach to how they deal with their employees. This session will provide an update on those areas of labor and employment law most likely to impact facilities going forward and discuss strategies to minimize potential liability and disruptions to operations.

Nurse Learner Outcome: At the conclusion of this session, participants will gain a better understanding of developments under federal and state law impacting workplace interactions and decision-making.

Learner Objectives:

  1. Gain insight into recent federal and state legislation impacting their staff and operations.
  2. Understand potential further developments to keep an eye on for the rest of the year.
  3. Discuss strategies to minimize liabilities associated with staff.
11:15 AM - 12:15 PM
Susie Mix, Mix Solutions

This interactive lecture provides knowledge, essential tools, best practices and key steps to implement immediately for managed care success. Knowledge of the nuts and bolts of preparing for and working with managed care daily will be given through this deep dive along with system development encompassing contracting, case management and billing. Attendees will leave with tips, tricks and techniques to navigate the many nuances of managed care and how that equates to operational and financial success.

Nurse Learner Outcome: At the conclusion of this session, participants will self-report a knowledge gain of the how to manage Managed Care contracts and maximize the reimbursements available on the post session evaluation.

Learner Objectives:

  1.     Describe what aspects of managed care contracts are not being maximized for full reimbursements.
  2.     Identify where we stand on a managed care proficiency scale defined by best practices.
  3.     Analyze what we are being paid for and if the levels listed are appropriate for our services.
  4.     Develop a managed care strategy and game plan to ensure we are not leaking managed care revenue.
Victoria Burlew, Lebenbom & Rothman Consulting

Quality Assurance Performance Improvement is emerging as an industry standard across all long-term care communities not just SNF. This sessions reviews the requirements for HFA and AFC and then introduces the Elements of a QAPI plan. Join us to learn anew or just refresh your memory. Leave with steps to your own plan.

Nurse Learner Outcome: Participants will self-report a knowledge gain of the elements of a Quality Assurance Performance Improvement Plan and use of two tools.

Learner Objectives:

  1. Review the AFC and HFA rules pertaining to QAPI.
  2. Review the elements of a QAPI plan.
  3. Develop next steps to be taken when returning to work.
12:15 PM - 1:00 PM
Jennifer Post, Health Care Association of Michigan
Melissa Samuel, Health Care Association of Michigan
Michael Batts, Health Care Association of Michigan
Richie Farran, Health Care Association of Michigan
Ask us anything! What are your burning questions or need to know issues? Come join the HCAM leadership team in a Q&A session to cover what you want and need to know.
Nurse Learner Outcome:
At the conclusion of this session, participants will self-report a knowledge gain in critical issues related to long term care services.
Learner Objectives:
  1. Participants will identify knowledge gaps in long term care services.
  2. Discuss key issues related to the long term care workforce.
  3. Apply learned knowledge to operations.
  4. Discuss Michigan regulatory changes and resulting impacts.
  5. Describe changes to clinical guidance as it relates to COVID and vaccinations.
1:00 PM - 2:30 PM
Jon Lanczak, Plante Moran
Michael Batts, Health Care Association of Michigan

This program will provide Michigan skilled nursing facilities an overview of the changes in rate setting, initial and final settlements, and related limits as allowed by the State Plan Amendment 0013 and audit requirements. The rate setting methodology was changed for state fiscal years 2022 and 2023 to recognize the financial toll on providers through the pandemic. The rates will be based on the actual provider costs from their Medicaid cost reports for fiscal year 2022 and 2023. This rate methodology change flows through to the settlement for these years and directly impacts the amount of QAS paid based on these rates. The program will also present the latest information regarding the development of a new reimbursement system for skilled nursing services. MDHHS and HCAM along with other stakeholders have been meeting frequently to design this system. The program will also provide an overview of the MI Health Link transition to a HIDE SNP. Types of D-SNP's will be discussed, along with information regarding how the HIDE SNP transition will effect providers going forward.

Nurse Learner Outcome: At the conclusion of this educational activity, participants will self-report on the post session evaluation a knowledge gain of potential changes to Medicaid reimbursement for FY 2025.

Learner Objectives:

  1. Describe the changes in Medicaid rate setting, settlement, audit and related variable cost and plant limits for SFY 22-24, along with upcoming SFY 25 changes.
  2. Discuss the proposal to revise the current reimbursement methodology potentially effective October 1, 2024.
  3. Discuss the MI Health Link program transition to a HIDE SNP and how this will effect providers in Michigan.
2:45 PM - 3:45 PM
Douglas Campbell, Lebenbom and Rothman Consulting
Care Planning has become fragmented and a siloed approach where each Interdisciplinary Team Member is building care plans that addressed their problem areas for the resident instead of looking at each resident wholistically and understanding the interrelation between the problems/issues for each resident and discussing them with the resident and create a person-centered plan of care that brings their desire on how they desire their issues/problems to be addressed in their plan of care. Let's discuss how we can make that happen through a body system focus.
Nurse Learner Outcome:
At the conclusion of this session, participants will self report a knowledge gain in the steps to person care planning that reflects the resident voice using a body systems approach.
Learner Objectives:
  1. Identify the Regulatory Requirements for Care Planning
  2. Discuss at least 4 opportunities to give the resident's voice into their care planning.
  3. Discuss the Interdisciplinary Approach to Care Planning for a Resident
Aaron Gundrum, Michigan Occupational Safety and Health Administration (MIOSHA) / Consultation, Education & Training (CET) Division